31 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... • DDx: Septic emboli ... Feeding #Vessel #Sign ... #diagnosis #radiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #McConnells #sign
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... • Pulmonary embolism ... : • EKG • Bedside ... ultrasound • CXR ... #Pain #Diagnosis
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... may aid in the diagnosis ... CT angiography. ... #photo #CXR #EmergencyMedicine ... #CriticalCare #
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Signs: hypotension ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
infiltrate (e.g ... ., CXR, CT, ultrasound ... Inflammation (e.g ... Pulmonary symptoms (e.g ... pain) and signs
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #MICU #CriticalCare ... #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... hyperthermia crisis (late sign ... #Management #Workup